Module 9: Endocrine
1/13/2017
MODULE 9 Endocrine
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MODULE 9 OBJECTIVES 1
List the 5 classes of lipid and water soluble hormones and identify the components of each
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State the Big Ideas for Endocrine Health
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Describe how each of the Foundations support the endocrine system
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Describe how a chronic stress response degrades the endocrine system
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Describe and perform the Functional Evaluations for the Endocrine System
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Describe two ways in which the administration of HRT or BHRT can exacerbate endocrine problems 2
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Module 9: Endocrine
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THE BIG IDEAS 1. Endocrine is a system of complex relationships. Always support the whole as well as the parts. 2. Respect the endocrine individuality of each client. 3. Always address The Foundations first. Copyright © 2016 Nutritional Therapy Association, Inc.
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Overview: The Endocrine System Copyright © 2016 Nutritional Therapy Association, Inc.
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THE ENDOCRINE SYSTEM • The Endocrine system is all about hormones and hormones are all about communication
Functions of Hormones •
‐Metabolism and energy balance ‐Biological clock (circadian rhythms) ‐Contractions of smooth and cardiac muscle fibers ‐Glandular secretion ‐Some immune system activities
─ The body creates more than 100 hormones ─ Hormones transfer information and instructions from one set of cells to another
Help Regulate: ‐Chemical composition & volume of extra cellular fluid
•
Control growth and development
•
Govern operation of reproductive systems
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CLASSES OF HORMONES Hormones fall into one of five classes: Lipid Soluble
Water Soluble
•
Steroid Hormones (derived from cholesterol)
•
Amines (modified amino acids)
•
Thyroid Hormones (iodine atoms + tyrosine)
•
Peptides and Proteins (chains of amino acids)
•
Eicosanoids (derived from fatty acids)
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ENDOCRINE GLANDS Endocrine glands, as well as other organs/tissues from other systems, produce hormones. Endocrine glands produce hormones that deliver messages from the organ/tissue of origin, to other parts of the body pineal gland
Endocrine Glands • • • • •
Pineal Pituitary Thyroid Parathyroid Thymus
• • • •
Adrenals Pancreas Ovaries/Testes Adipose Tissue
testes
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OTHER HORMONE‐PRODUCING ORGANS Non‐endocrine organs are organs/tissues that produce hormones that deliver messages within the organ/tissue only: lungs
skin
stomach
heart
liver
small intestines
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kidney
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ENDOCRINE RELATIONSHIPS Duodenum
Medulla
Pituitary
Adrenals Pancreas
Cortex
Thyroid
Pineal
Liver
Thymus
Corpora Lutea
ParaThyroid
Gonads
Follicle
Mammae Cooperation Antagonism Placenta
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HORMONES: ORCHESTRATING BALANCE
The coordinated movement, synthesis, and dispersal of hormones is like an orchestra…all the instruments need to play together to achieve harmony. Copyright © 2016 Nutritional Therapy Association, Inc.
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MINOR PLAYER: PINEAL GLAND
• The pineal gland is a small gland located in the brain • The physiological role of the pineal gland is still unclear, though it secretes at least one hormone: • MELATONIN: An amine hormone that helps set the timing of the body’s biological clock Copyright © 2016 Nutritional Therapy Association, Inc.
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MAJOR PLAYERS Duodenum
Medulla
Pituitary Pituitary
Adrenals Adrenals Pancreas
Cortex
Thyroid Thyroid
Pineal
Liver
Thymus
Corpora Lutea
Sex Gonads Organs
ParaThyroid Follicle
Mammae Cooperation Antagonism Placenta
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HYPOTHALAMUS PITUITARY
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ENDOCRINE REGULATORY MECHANISM: THE NEGATIVE FEEDBACK LOOP Endocrine Organ
Endocrine Organ
Hypothalamus
Hypothalamus
Pituitary
Pituitary
Endocrine Gland
Endocrine Gland
Increase Hormone Production
Decrease Hormone Production
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THE THYROID • The thyroid gland is one of the primary players in the regulation of metabolism • Two thyroid hormones do most of this work: T4 (inactive) and T3 (active) • T3 affects virtually every organ of the body by acting as a modulator of cell functions Copyright © 2016 Nutritional Therapy Association, Inc.
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METABOLISM OF THYROID HORMONE TRH T3 TSH
Target Organs Copyright © 2016 Nutritional Therapy Association, Inc.
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ACTIONS OF T4 AND T3 Thyroid Hormones regulate: •
Oxygen use and basal metabolic rate
• • •
Cellular metabolism Growth and development The activity of the nervous system
(BMR)
Thyroid Hormones also: • • • •
Stimulate the synthesis of protein Increase the use of glucose for ATP production Increase lipolysis (chemical breakdown of fats) Enhance cholesterol excretion, reducing blood cholesterol levels
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THYROID HEALTH • The thyroid is extremely sensitive to stress and toxins: ─ ─ ─ ─ ─
Heavy metals Foreign substances Drugs, such as aspirin Food allergies Endocrine imbalances
• Large amounts of goitrogenic foods can also block the conversion of T4 to T3
Goitrogenic foods •
Cabbage
•
Broccoli
•
Brussels sprouts
•
Rutabaga
•
Turnips
•
Cauliflower
•
Millet
•
Kale
•
Soy
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THYROID DYSFUNCTION Common Thyroid Disorders • • • • • •
Hypothyroidism (see NAQ symptoms 259‐267) Hyperthyroidism (see NAQ symptoms 252‐258) Goiters Nodules Cysts Autoimmune Thyroid Disease
Autoimmune Thyroid Disorders* •
Hashimoto’s Thyroiditis: may initially present as hyperthyroid and leads to hypothyroid
•
Grave’s Disease: hyperthyroid function presents
*Occur when the immune system mounts an attack against thyroid cells Copyright © 2016 Nutritional Therapy Association, Inc.
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THYROID DYSFUNCTION CAUTION IMPORTANT NOTE: Though Iodine deficiency is a common cause of hypothyroidism, supplemental use is CONTRAINDICATED with autoimmune thyroid disorders. If multiple thyroid symptoms present and client is unaware of autoimmune disease diagnosis, refer client to Functional Endocrinologist for further evaluation.
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THE ADRENALS The Adrenals have three basic hormonal functions: 1
Glucocorticoids regulate blood sugar and inflammation, an important part of the “fight or flight” mechanism
2
Mineralocorticoids regulate mineral balance, particularly sodium and potassium
3
Production of sex hormones
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THE SEX GLANDS The ovaries produce the female sex hormones, estrogens and progesterone, after puberty and prior to menopause
The testes produce the primary male sex hormone, testosterone
These sex hormones are steroid hormones, meaning they are produced from cholesterol Copyright © 2016 Nutritional Therapy Association, Inc.
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Endocrine Issues Copyright © 2016 Nutritional Therapy Association, Inc.
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ENDOCRINE DECLINE Female Decline
Male Decline
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THE ENDOCRINE CASCADE Endocrine Cascade Offenders • Stress
Blood Sugar Imbalances
• Toxins
Adrenals
• Poor Diet • Poor Digestion
Pituitary
• Mineral Deficiencies
Thyroid
• EFA Deficiency
Sex Hormones
• Dehydration
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DIAGNOSIS: MENOPAUSE? Feminine Forever
Menopause
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Hormones? Exercise? Copyright © 2016 Nutritional Therapy Association, Inc.
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MALE INFERTILITY The rise in male infertility is approaching epidemic proportions. A French research of 1,300 healthy men found sperm counts down by 33% in the last 20 years. The younger of the men (30 years old) had the poorest counts. American men were found to have a 60% drop in sperm levels from 1940 to 1990. From 163 to 66 million sperm/ml in sperm density plus a 20% reduction in seminal volume. Copyright © 2016 Nutritional Therapy Association, Inc.
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MALE INFERTILITY (CONTINUED) • A minimum sperm density is necessary to increase the likelihood of fertilization • The minimum values are changing: • • • •
Was greater than 40 million sperm/ml Then 20 Then 10 Now 5 million sperm/ml
• Only 1 in 5 million sperm actually reach the egg Copyright © 2016 Nutritional Therapy Association, Inc.
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Sperm Density in Millions/ml
MALE INFERTILITY (CONTINUED)
200 150
163
100
66
50
5
0 1940
1970
1990
0 2020
2050
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STRENGTHEN THE WEAKNESS • Zinc therapy improved sperm count in men with low counts (60 mg/day for 6 weeks) • Nine out of 22 (~41%) previously infertile couples conceived during the course of the study • It is believed that Zinc plays an important role in contributing to improved sperm motility
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REMOVE THE STRESSORS “More and more studies are emerging that support the theory that pesticides (DDT, etc…) and other chemicals (PCBs, etc…), which are widespread in the environment, imitate hormones (T3, Estrogen) and disrupt sexual development in the womb (as seen in lab animals).” Dr. Earl Gray, Environmental Protection Agency Chief of Developmental Reproduction and Toxicology Research
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PREVENTION AND SOLUTIONS 1
Support the Foundations ─ Digestion ─ Blood Sugar ─ Minerals (especially zinc)
2
Strengthen the following organ systems: ─ Liver and kidneys ─ Thyroid ─ Reproductive organs
3
Identify and remove the toxic burden stressors: ─ Read “Our Stolen Future” by Theo Colborn Copyright © 2016 Nutritional Therapy Association, Inc.
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BPH Benign Prostatic Hypertrophy affects: ─ 90% of men over 80 ─ 50‐60% of men ages 40 to 60 ─ 10% of men ages 20 to 40 Urinary Tract symptoms: ─ Low stream of urine ─ High frequency of urination ─ Incontinence ─ Impotence
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CAUSES OF BPH • Testosterone is converted to Di‐hydro testosterone (DHT) by 5 alpha reductase ─ DHT is considered to be the toxic form of testosterone
• DHT binds androgen receptors and: ─ Stimulates prostate growth ─ Causes acne ─ Causes male pattern baldness
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The Journal of The Maine Medical Association March 1958
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PREVENTION AND SOLUTIONS 1
Prevent by addressing the Foundations ─ Zinc (may inhibit 5 alpha reductase) ─ Fatty acids (omega 3 reduces risk) ─ Iodine (mobilizes calcium)
2
Saw palmetto ─ Inhibits 5‐AR and DHT binding ─ 92% effective without side effects
3 4 5
Glutamic acid, alanine, glycine Lycopene Vitamins C, D, E, and beta carotene Copyright © 2016 Nutritional Therapy Association, Inc.
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A NOTE ON PROSTATE CANCER Prostate cancer has many of the same signs and symptoms as BPH. Incidence in 2011: • 240,890 new cases/year (more than breast cancer) • 33,720 deaths/year (breast cancer‐39,970)
*American Cancer Society Cancer Facts and Figures 2011 Copyright © 2016 Nutritional Therapy Association, Inc.
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CAUSES OF PROSTATE CANCER 1
Lifestyle ─ Mortality in Black Americans is 2 times higher than whites ─ 2 per 10,000 in China vs. 20 per 10,000 in Chinese Americans ─ 10 per 10,000 in Japan vs. 33 per 10,000 in Japanese Americans ─ Increased in farmers, food manufacturing, cadmium metal workers, and milk drinkers
2
Genetic link ─ Clusters in families ─ Gene for protein that suppresses metastasis
3
DHT stimulates induction of prostatic growth
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PREVENTION The best way to prevent prostate cancer is to promote good prostate health
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ENDOCRINE SUMMARY The Foundations Endocrine
• The Endocrine System is a complex system of delicate, interconnected relationships • ALWAYS treat the whole system for hormone‐ related issues, keeping in mind that you may need to provide support for specific organs such as the adrenals
Duodenum Duodenum
Immune Medulla Medulla
Pituitary Pituitary
Adrenals Adrenals Pancreas Pancreas
Cortex Cortex
Thyroid
Pineal
Liver Liver
Thyroid
Thymus Thymus
Corpora Corpora Lutea Lutea
ParaParaThyroid Thyroid
Gonads Gonads
Follicle Follicle
Mammae Mammae Cooperation Antagonism Placenta Placenta
Excerpt from Harrowers “Endocrinology”
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The Foundations and Endocrine Health Copyright © 2016 Nutritional Therapy Association, Inc.
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FIRST LINE OF SUPPORT Always address The Foundations first when dealing with hormonal issues
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DIETARY SUPPORT Hormones
Derived From …
Dietary Needs
Steroid Hormones
Cholesterol
• •
Thyroid Hormones
Iodine Atoms + Tyrosine
• •
Iodine Quality proteins
Amine Hormones
Modified Amino Acids
•
Quality proteins
Peptide and Protein Hormones
Chains of Amino Acids
•
Quality proteins
Fatty Acids
•
Good fats (including EFAs)
Eicosanoid Hormones
Good fats Unrefined, complex carbs
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DIGESTION 1.
Brain
2.
Mouth
Salivary Glands
Bolus 3.
Stomach Chyme
Liver/Gallbladder
4. Pancreas
Small Intestine Remains
5.
Nutrients
Large Intestine Feces
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Water/Vitamins 44
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MINERAL BALANCE Every endocrine organ has a mineral on which it is particularly dependent: Mineral Balance in Endocrine Thyroid
Iodine
Prostate
Zinc
Pituitary
Manganese
Pancreas
Chromium
Gonads
Selenium
Adrenals
Copper
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FATTY ACIDS • EFAs and other fats are critical to the entire endocrine system ─ The body cannot make hormones without fats
• Endocrine factories are inside the cells and phospholipids control what goes in and out of the cell • A healthy cell membrane is also needed for the cellular/hormonal communication to take place Copyright © 2016 Nutritional Therapy Association, Inc.
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HYDRATION • Hydration supports the efficient transport of hormones throughout the body • Hydration ensures proper viscosity of the blood and interstitial fluids
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Blood Sugar and the Endocrine System Copyright © 2016 Nutritional Therapy Association, Inc.
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BLOOD SUGAR REGULATION Keep in mind that any attempt to normalize hormonal imbalances is futile until blood sugar/adrenal issues are addressed
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A DELICATE BALANCING ACT
Insulin Food
~100 mg/dL
Normal Glucose Level
89.9 mg/dL
Between Meals
Glucagon
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~80 mg/dL
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PRIMITIVE EMERGENCIES
EMERGENCY
Normal Glucose Level
89.9 mg/dL 80 mg/dL
60 mg/dL
Adrenals fire: adrenaline, noradrenaline, cortisol
40 mg/dL
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PRIMITIVE EMERGENCIES (CONTINUED) When the adrenals fire, the body listens
EMERGENCY
Normal Glucose Level
89.9 mg/dL 80 mg/dL
60 mg/dL
Adrenals fire Liver produces and releases more glucose Copyright © 2016 Nutritional Therapy Association, Inc.
40 mg/dL
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SO, LET’S DEFINE “STRESS” • In today’s world, the primitive emergencies that consistently put our adrenals in a state of “chronic” stress include: ─ Refined sugars and a high glycemic diet (the major culprit) ─ Coffee and other stimulants ─ Alcohol ─ The morning commute ─ Emotional stress ─ Digestive compromises ─ Nutritional weaknesses ─ Disease/Other Pathologies Copyright © 2016 Nutritional Therapy Association, Inc.
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BASIC CONCEPT
Chronic Stress Response
Chronic output of CORTISOL Copyright © 2016 Nutritional Therapy Association, Inc.
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CHRONICALLY HIGH CORTISOL: ITS IMPACTS
Altered EFA Metabolism
Intestinal Dysbiosis Obesity
Decreased Phase II Conjugation
Estrogen Dominance
Elevated Cortisol
Insulin Resistance Androgen Dominance
Thyroid Metabolism Defects
Antigen Overload Pituitary Imbalance
Decreased Metabolic Rate
Inflammatory Response
Low T3
Decreased Liver Detox
Increased Intestinal Permeability
Abnormal Progesterone Estrogen Ratio Increased Cancer Risk
Obesity Decreased Fat Metabolism Low DHEA
Adrenal Exhaustion Depression Reactive Hypoglycemia
Low Progesterone
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Decreased Immunity 55
THE LIVER TAKES A HIT • The liver is responsible for deactivating hormones that are in excess or are no longer functional • These hormones have to be broken down, conjugated, and removed from the body • Elevated cortisol levels decrease the effectiveness of the liver pathways that perform the conjugation
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THE PANCREAS TAKES A HIT • When cortisol levels are elevated, insulin receptors on cells do not respond adequately to insulin • This puts a strain on the pancreas to secrete more insulin in order to transport glucose into the cells • This leads to high insulin levels and all the adverse impacts that come along with it Copyright © 2016 Nutritional Therapy Association, Inc.
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THE ENDOCRINE SYSTEM TAKES A HIT
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A NOTE ON PREGNENOLONE • Pregnenolone is considered a “precursor” to the production of the adrenal and sex hormones • Only the Adrenal Glands can remove and concentrate pregnenolone from the bloodstream • The Gonads must manufacture their own pregnenolone from cholesterol
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ENDOCRINE SYSTEM (CONTINUED) Cholesterol Pregnenolone • This is a catabolic process, requiring extreme use of energy • Only so much Pregnenolone can be produced by the body
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THE PROLONGED STRESS RESPONSE This process is considered a major priority by the body. It is our fight or flight survival response! Adrenal function is favored over reproduction, metabolic rate and other endocrine function. The adrenal glands are therefore allowed to “steal” nutrients and hormonal precursors from the rest of the endocrine system.
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CLINICAL PEARL The gonads may release pregnenolone to help make more cortisol, depleting sex hormone reserves Giving Pregnenolone or Progesterone at this time will fuel the stress response, further increasing cortisol production
Do not supplement with pregnenolone, progesterone or cortisol until the chronic stress response is abated, and cortisol production reduced Copyright © 2016 Nutritional Therapy Association, Inc.
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INSULIN RESISTANCE Elevated Cortisol
Insulin Resistance
Increased Testosterone in Women
Increased Estrogen in Men
Inflammation Issues (Excess Insulin Blocks PG1 Pathway)
Elevated Blood Pressure and Cholesterol
Poor Mineral Absorption by Cells Copyright © 2016 Nutritional Therapy Association, Inc.
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MENOPAUSAL TRANSITION The adrenal glands take over the main production of estrogen from the ovaries at this time. Adrenal function MUST be supported at this time. Begin with balancing her blood sugar handling system. Copyright © 2016 Nutritional Therapy Association, Inc.
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THE ENDOCRINE CASCADE Endocrine Cascade Offenders • Stress
Blood Sugar Imbalances
• Toxins • Poor Diet • Poor Digestion
Adrenals Pituitary
• Mineral Deficiencies
Thyroid
• EFA Deficiency
Sex Hormones
• Dehydration
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A Note on BHRT Bio‐Identical Hormone Replacement Therapy
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BHRT Be educated so that you may educate your clients It is absolutely essential that a person be tested properly before beginning any form of BHRT, rather than relying on symptomatic presentation only. Refer your client to someone capable of ordering and interpreting these tests. Copyright © 2016 Nutritional Therapy Association, Inc.
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WHAT IS A BIO‐IDENTICAL HORMONE? Bio Identical Hormones are naturally derived substances that have the “identical” biochemical structure to the hormones found in the body. They come from either wild yam or soybeans. However, they do require the addition of certain enzymes and activators to convert them into the actual functioning hormone. This happens in a laboratory. Questions arise regarding their “natural” status because of this process.
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BUT… WHY? • Giving hormones will directly squelch the HPT/PT Negative Feedback loop • Hormonal Resistance: Sx of deficiency in the presence of excess (remember insulin resistance?) • Progesterone, pregnenolone and DHEA can increase already high cortisol levels in cases of chronic stress
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WHY (CONTINUED) • Giving testosterone to men (without testing), can increase both DHT and estrogen levels • Giving estrogen to women in insulin resistance can increase already high testosterone levels • And of course, giving estrogen inappropriately to women causes estrogen dominance which is at the root of most female cancers, uterine and breast fibroid incidence and ovarian cyst occurrence Copyright © 2016 Nutritional Therapy Association, Inc.
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Endocrine Health: Functional Evaluation
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PITUITARY/HYPOTHALAMUS Pituitary/Hypothalamus Point Locate the ridge between the eyebrows and find a small soft spot just above (the 3rd eye). Check for tenderness or spongy feeling. Another way to find the point is to start with your index finger in the middle of the forehead and gently drag your finger to the “V” formed by the bone structure between the brows. Palpate for tenderness, A>P.
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LNT: PITUITARY/HYPOTHALAMUS
PITUITARY/HYPOTHALAMUS GLANDULAR MULTI‐GLAND (NEONATAL BOVINE) MANGANESE MULTIGLANDULAR SUPPORTING FEMALE ENDOCRINE HEALTH (NEONATAL BOVINE)
MULTIGLANDULAR SUPPORTING MALE ENDOCRINE HEALTH (NEONATAL BOVINE)
GAMMA ORYZANOL (FORTIFIED)
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THYROID Chapman Reflex Thyroid (2nd R‐L) Bilateral. Second intercostal spaces, next to the sternum. Palpate A>P, for tenderness. Record R and L indicators. *There is theory that the point on the right is more of a Thyroid indicator and the left side, Heart. This is NOT absolute.
IMPORTANT NOTE: Run the Symptom Burden Report prior to conducting this evaluation to determine whether the client is more likely to have a hypo vs. hyper thyroid. You need this information in order to select supplements/food recommendations for the LNT process. Copyright © 2016 Nutritional Therapy Association, Inc.
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THYROID Costal Margins Tender to Palpation – Thyroid You may use either the medial edge of the hand in a rocking motion, or the fingertips. Palpate the mid mammary line, at the point where the bone changes to cartilage (Costal/Chondral Margins). Start at the clavicle, mid‐mammary line, and move down the rib cage (costal/chondral junction). FOLLOW THE LINE OF THE RIB CAGE. Finish by palpating across the bottom and up the medial aspect of both ribs. This is a “general tenderness” rating. Client should rate the overall tenderness on a scale of 1‐10. Must be tender all the way down to be an indicator.
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THYROID (CONTINUED) Pretibial Edema – Thyroid Indicator Locate the flattest part of the tibia about ¼ to 1/3 of the way between the ankle bone and the knee. Press firmly into the bone for 2‐3 seconds then run your finger back over the spot very lightly to feel for a depression. The deeper and longer‐lasting the depression, the more significant.
Rating: NONE ‐ Disappears immediately, or very shallow MILD ‐ Disappears within 10 seconds SEVERE‐ Remains longer than 10 seconds
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LNT: THYROID MULTIPLE NUTRIENTS TO SUPPORT THYROID FUNCTION POTASSIUM IODIDE THYROID GLANDULAR
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WORKSHOP 9A Using your Workshop 9a pages work with a partner to complete the Functional Evaluation and LNT for the Thyroid‐Pituitary.
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OVARIES/TESTICLES Inside Arch‐ Ovaries/Testicles Points Bilateral. While holding the clients foot with your hands, bend the foot slightly to reveal the apex of the arch (the highest point). The point is not on the side of the foot nor is it on the bottom of the foot, it is on the transition point between the two (the edge of the bone). Palpate for tenderness and congestion. Palpate for tenderness by pressing directly into the foot. Record both R and L indicators.
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OVARIES/TESTICLES Chapman Reflex Ovaries/Testes ‐ Pubic Symphysis (In) Chapman Reflex Ovaries/Testicles – Always ask permission to palpate in this area or use the client’s own hands to palpate. Begin by asking the client to find the top edge of their pubic bone. Place both index fingers together at the mid‐point of the pubic bone. The palpation is on the superior edge of the bone, pushing down (inferior) S>I toward the feet, NOT A>P. Check for tenderness. Record both R and L indicators.
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LNT: OVARIES OVARY GLANDULAR MULTI NUTRIENTS SUPPORTING FEMALE ENDOCRINE HEALTH HERBAL SUPPORT FOR MENOPAUSAL SYMPTOMS FOR MORNING USE HERBAL SUPPORT FOR MENOPAUSAL SYMPTOMS FOR EVENING USE HERBAL SUPPORT FOR FEMALE LIBIDO PERUVIAN MACA AND VELVET DEER ANTLER POTASSIUM IODIDE
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LNT: TESTICLES ORCHIC GLANDULAR MULTI GLANDULAR SUPPORTING MALE ENDOCRINE HEALTH PERUVIAN MACA AND VELVET DEER ANTLER
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PROSTATE/UTERUS Medial Heel ‐ Prostate/Uterus Reflex Bilateral. Locate the point halfway between the medial malleolus (ankle bone) and the medial aspect of the calcaneus (heel bone). Feel for a small indentation (not the valley just posterior). Press laterally and rate tenderness. Record both R and L indicators.
Illiotibial Band Chapman Reflex Prostate/Uterus – this point overlaps part of the Chapman Colon Reflex. It is middle third portion along the illiotibial band at the point where the client’s hand will reach when held against the side of their leg. Palpate approximately 2” superior and 2” inferior to their fingertips. Check for tenderness and nodulation.
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PROSTATE/UTERUS Chapman Reflex Prostate/Uterus ‐ Pubic Symphysis (Outer) Chapman Reflex Prostate/Uterus – Always ask permission to palpate in this area or use the client’s own hands to palpate. Begin by asking the client to find the top edge of their pubic bone. Place both index fingers, or thumbs together at the mid‐point of the pubic bone and then move them laterally the width of 1‐2 fingers. The palpation is on the superior edge of the bone, pushing down (inferior) S>I toward the feet, NOT A>P. Record both R and L indicators.
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LNT: PROSTATE SAW PALMETTO AND OTHER NUTRIENTS TO SUPPORT PROSTATE LIQUID ZINC
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LNT: UTERUS MULTI NUTRIENTS SUPPORTING FEMALE ENDOCRINE HEALTH MULTI GLANDULAR SUPPORTING FEMALE ENDOCRINE HEALTH SAW PALMETTO AND OTHER NUTRIENTS TO SUPPORT PROSTATE POTASSIUM IODIDE
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BREAST TENDERNESS Breast Tenderness The practitioner may ask the client to palpate their own breast tissue being sure to palpate all quadrants of the breast and ask them to describe any tenderness. For maximum client comfort, practitioner may demonstrate the palpation on their own breast tissue and ask the client to do the same. If client is female, precede test with the question “Do you experience breast tenderness during your period?”, and if so, “Are you currently having your period?” Rate tenderness 1‐10.
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LNT: BREAST TENDERNESS
WATER SOLUBLE FIBER AND COLON HEALTH NUTRIENTS LIVER GLANDULAR MULTI‐GLAND (NEONATAL BOVINE) MICRO EMULSIFIED OREGANO OIL GARLIC AND CHLOROPHYLLINS BUTYRIC ACID MULTI GLANDULAR SUPPORTING FEMALE ENDOCRINE HEALTH (NEONATAL BOVINE)
MULTI NUTRIENTS SUPPORTING FEMALE ENDOCRINE HEALTH CALCIUM D GLUCARATE A VERITY OF HERBS TO ADDRESS DYSBIOSIS
A BROAD SPECTRUM PRE AND PRO BIOTIC Copyright © 2016 Nutritional Therapy Association, Inc.
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WORKSHOP 9B Using your Workshop 9b pages work with a partner to complete the Functional Evaluation and LNT for the Sex Organs.
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Endocrine Health: Solutions Copyright © 2016 Nutritional Therapy Association, Inc.
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A NOTE ON GLANDULAR THERAPY Glandular therapy, or organotherapy, refers to the use of specific animal preparations to improve physiological function and support the natural healing process. Glandular supplements contain the cytoplasm and cytosol extracts of the specific gland used to make the supplement. These extracts act as precursors for the target organ.
There is also considerable evidence that the nucleic material in the glandular can enhance immune function.
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HISTORICALLY • Natural Healers from almost every culture have used glands therapeutically for thousands of years • In the 1930’s, glandular therapy in clinical practice was common • The importance of supplementation with glandulars was emphasized by physicians, such as Frances Pottenger, M.D. and Royal Lee, D.D.S • Scientific advances of the last 20 years can now answer questions regarding the efficacy of glandular therapy
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COMMON QUESTIONS Q.
Do glandular products survive the digestive tract, and are they absorbed?
A.
Evidence from radioactive tagging shows that proteins, polypeptides, enzymes, etc. are absorbed intact. Approximately 50% of amino acids are absorbed as di‐ and tri‐peptides, many of which are biologically active.
Q.
If glandular constituents are absorbed orally, what is the evidence for their specific effects on glands and organs?
A.
Experiments have shown that labeled constituents, such as tissue growth factors, accumulate in the target tissue. Studies have shown that ingested raw glandular concentrates exhibit organ specificity and act on that target organ.
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GLANDULAR THERAPY “By feeding patients simple proteins that mimic human proteins involved in the diseases, researchers are finding that they can suppress the autoimmune attack, retard the course of the disease and alleviate suffering. Moreover, the treatments seem to be free of side effects.” October 15, 1993 Copyright © 2016 Nutritional Therapy Association, Inc.
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NEONATAL GLANDULAR PRODUCTS Adrenal function declines with age. Adrenal glands from newborn animals reveal distinct, well‐defined zones for the cortex and medulla.
Adult glands lacked clear boundaries and were more diffuse.
Adult Neonatal
Adult adrenal tissue shows evidence of large amounts of lipofuscin, an indicator of lifelong exposure to oxidative stress and lipid peroxidation. Copyright © 2016 Nutritional Therapy Association, Inc.
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HORMONE REPLACEMENT? Conventional wisdom ascribes the effects of glandulars to the presence of small amounts of hormones, thus the use of glandulars is often viewed as hormone replacement. In fact, the situation is quite different. Glandular products provide a balance of multiple factors to promote growth and maintenance of organs and glands rather than excess (pharmacologic level) of a single hormone or factor.
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YOUR STRATEGY The Foundations
• 2‐3 months on The Foundations, emphasizing blood sugar regulation: Ensure good fatty acids are in the diet Ensure minerals are balanced Support the adrenals
Practitioner Decisions
• If the client is having discomfort, simultaneously support the specific, weakened organ(s) • General support for the endocrine system
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ENDOCRINE PROTOCOLS •
• PMS
Hot Flashes
• Menstrual Cramping
•
Menopausal Support
• Heavy/Scanty Menstrual Flow
•
Male Libido
• Endometriosis
•
Male Fertility
• Female Libido
•
Benign Prostate Hypertrophy
•
Male Erectile Dysfunction
•
Hypothyroid
•
Hyperthyroid
•
Hashimoto’s Thyroiditis
•
Hypoadrenia
•
Hyperadrenia
•
Diabetes
•
Hypoglycemia
• Female Infertility • Morning Sickness • Lactation, Dried Up • Postpartum Depression • To Shrink Uterus After Pregnancy • Varicose Veins • Vaginal Tract Dry • Vaginal Yeast
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MODULE 9 SUMMARY 1
List the 5 classes of lipid and water soluble hormones and identify the components of each
2
State the Big Ideas for Endocrine Health
3
Describe how each of the Foundations support the endocrine system
4
Describe how a chronic stress response degrades the endocrine system
5
Describe and perform the Functional Evaluations for the Endocrine System
6
Describe two ways in which the administration of HRT or BHRT can exacerbate endocrine problems 101
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